Florida Gulf Coast University Testing Center Proctor Contact Sheet
The following information is to be provided by the student, instructor or Testing Office of the home
institution requesting proctoring services from FGCU.
Instructions
Complete and email or fax this form to Susie Lennertz BEFORE sending the exam.
Contact
Susie Lennertz
Title: Program Assistant
Phone: 239.590.7735
Fax: 239.590.7732
Email: slennertz@fgcu.edu
Office Hours
Monday through Friday: 8:30am – 5:00pm
Testing Hours
Monday through Thursday: 9:30am – 4:30pm
Friday: 9:30am – 1:00pm
Fees
$30 for an exam of 2 hours or less and $10 for each additional hour, or any portion of an hour ($45 for
an exam of 2 hours or less and $10 for each additional hour, or any portion of an hour as of July 1,
2016), payable at the time of the test. The fee is based on the maximum exam time permitted, as
defined by your institution. Proctor fees are not pro-rated. The Testing Center reserves the right to
review the exam prior to confirming a final test fee. It is the examinee’s responsibility to provide, in
advance, all information regarding the test so that an appropriate fee can be set.
Rescheduling
If you schedule a day and time for your exam and you reschedule your appointment, there will be a $20
rescheduling fee ($25 as of July 1, 2016) in additional to the proctoring fee.
Important Information
 No hats, sunglasses, wrist watches, food, drinks, cellular phones, electronic devices or
coats/jackets are allowed in the testing room.
 Your test is given in strict accordance to instructions from the test sponsor/institution.
 Appointments are required for every test session and must be made at least 24 hours in
advance. Appointments may only be made after we receive the test instructions and exam from
your home institution. All seating is subject to availability.
 Proctoring services are provided as a community service. We cannot guarantee the
accommodation of all exams or examinees.
 All instructions for the exam must be provided before the day of the exam. Once the above
information is provided and the exam is received, the student will be contacted to schedule an
appointment.

Circumstances such as power outages, internet outages, outside noise, weather related
emergencies, etc. are beyond the control of the Testing Center and may affect your exam. We
will work with you and your institution to reach an agreeable decision in the event any
unforeseen circumstances may arise.
Provide the following information for each exam to be taken at the FGCU Testing Center:
Date:
Student’s Name:Click here to enter text.
Phone Number:Click here to enter text.
Home Institution:Click here to enter text.
Contact Person at Institution:Click here to enter text.
Contact Person’s Email or Phone Number:Click here to enter text.
Course Name:Click here to enter text.
Exam Name:Click here to enter text.
Number of exams to be proctored:
Midterm☐
Final☐
Other tests☐
Date test(s) are required to be given:Click here to enter text.
Format of test:
Paper and Pencil☐
Computer-based☐
Time permitted for test:Click here to enter text.
Materials permitted for test:
Calculator☐
Scrap paper☐
Open book☐
Blue Book☐
Notes☐
Scantron☐
If the exam is computer-based, list the website address:Click here to enter text.
How will the exam be received:
UPS☐
US Mail☐
Fax☐
Fed Ex☐
Email☐
How will the exam be returned:
UPS☐
Prepaid envelope provided☐
US Mail☐
Fax☐
Fed Ex☐
Email☐
Keep copy of exam☐
Are you eligible for ADA accommodations:
Yes☐
If yes, it is your responsibility to contact the ADA office on your
campus and have them contact the FGCU Testing Center.
No☐